Sonya Cronland
Gastonia,NC
Summary
Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicaid and private policy benefits. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Manager
Julie’s boutique
Charlotte, nc
12.2020 - Current
- Managed daily operations and staff scheduling for retail environment.
- Oversaw inventory control and ensured accurate stock levels.
- Developed visual merchandising strategies to enhance customer engagement.
Coordinator
CaroMont Health
Gastonia, NC
01.2015 - 11.2020
- Managed day-to-day operations of the department including scheduling tasks and assigning duties.
- Resolved customer complaints in a timely manner while upholding company standards.
- Facilitated communication between different departments in order to resolve issues quickly.
- Created and maintained accurate records of departmental activities, including budgets, personnel documents and project timelines.
- Maintained calendars of upcoming events, meetings and deadlines.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
Patient Account Representative
Gaston Radiology
Gastonia, NC
03.2005 - 12.2015
- Resolved any issues arising from incorrect or incomplete documentation relating to a particular claim.
- Interacted with other departments within the organization such as finance, accounting, IT, and Human Resources when necessary.
- Researched discrepancies in patient accounts to determine appropriate resolution.
- Assisted in resolving patient complaints related to account balances, insurance coverage, and payment plans.
- Provided customer service to patients regarding billing inquiries and account information.
- Responded promptly to customer inquiries via telephone or email in a professional manner.
- Maintained detailed notes on all patient interactions for future reference purposes.
- Created new patient files according to established procedures and protocols.
- Communicated frequently with healthcare providers regarding payment status updates on their claims submitted.
Claims Analyst
Coresoure
Charlotte, NC
03.1998 - 12.2004
- Reviewed customer claims, identified discrepancies and determined appropriate course of action.
- Prepared detailed reports on claim status, payment history, and other relevant information.
- Analyzed claim data to identify trends and recommend process improvements.
- Verified documents to ensure accuracy of information provided by customers.
- Assessed medical records for coverage eligibility and benefit accuracy.
- Provided guidance to customers regarding their rights and obligations under policy terms.
- Conducted investigations to gather evidence in support of claims resolution.
- Ensured compliance with federal and state regulations governing insurance industry operations.
Education
High School Diploma -
Hunter Huss High School
Gastonia, NC06-1990
Skills
- Insurance terminology
- Policy understanding
- Teamwork and Collaboration
- Complaint Handling
- Excellent Communication
- Paperwork Processing
- Coverage Determination
- Organizational Skills
- Problem-solving aptitude
- Data Integrity
- Payment and Investigation Escalations
- Analytical Skills
- Professionalism
Certification
- Epic Certified
- Medical Terminology
Timeline
Manager
Julie’s boutique
12.2020 - Current
Coordinator
CaroMont Health
01.2015 - 11.2020
Patient Account Representative
Gaston Radiology
03.2005 - 12.2015
Claims Analyst
Coresoure
03.1998 - 12.2004
High School Diploma -
Hunter Huss High School